# JABUDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942835673
- **Authorized official:** JENNIFER ANNE BUDA FNP-C, RNFA (FNP-C, RNFA)
- **Authorized official phone:** (757) 410-8479

## Contact information

- **Practice address:** 830 KEMPSVILLE RD, NORFOLK, VA 23502-3920
- **Practice address phone:** (757) 410-8479
- **Mailing address:** 1100 BATTLEFIELD BLVD S PO BOX 16880, CHESAPEAKE, VA 23322-9998
- **Mailing address phone:** (757) 410-8479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | — |
| 163WR0006X | Registered Nurse First Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 03/03/2020